Yet Another Hospital Claims Kaiser Won't Pay All It Owes
SANTA ANA, Calif. (CN) – St. Jude claims Kaiser owes over $200,000 for treating its patients, in Orange County Superior Court.
St. Joseph Health dba St. Jude Medical Center sued Kaiser Foundation Health Plan and Kaiser Foundation Hospitals for breach of contract, quantum meruit, and unjust enrichment.
St. Jude claims Kaiser will not fully pay for medically necessary emergency medical treatment given to two of its patients on July 21, 2014, and from Jan. 25 to Feb. 10, 2016.
Kaiser knew it had to pay because of a 2006 agreement that St. Jude would provide hospital services at discounted rates in exchange for full payment of those services within 30 calendar days. If it did not pay within 60 calendar days, the discounted rates would be voided and full charges would apply, according to the complaint.
St. Jude says it submitted both bills on time, but Kaiser refused to pay the entire amount owed on either of them, claiming the unpaid charges, including a CT scan for one patient, were “disallowed.”
St. Jude sent written appeals to Kaiser several times demanding payment in full, but Kaiser refused to cooperate. Since over 60 calendar days have passed, it must now pay the full rate for services rendered, the complaint states.
The hospital seeks reimbursement of the $202,174.91, plus interest.
It is represented by Carrie McLain with the Helton Law Group of Huntington Beach.